单阶段双侧电视辅助胸腔镜肺减容手术

Single-stage bilateral, video-assisted thoracoscopic lung volume reduction operation.

作者信息

Vigneswaran W T, Podbielski F J

机构信息

Division of Cardiothoracic Surgery, University of Illinois at Chicago, 60612, USA.

出版信息

Ann Thorac Surg. 1997 Jun;63(6):1807-9. doi: 10.1016/s0003-4975(97)00335-4.

DOI:10.1016/s0003-4975(97)00335-4

PMID:9205201

Abstract

Lung volume reduction (LVR) produces significant clinical and objective improvement in selected patients with diffuse emphysema. Unilateral and bilateral approaches have been successfully employed. A median sternotomy approach is the standard for bilateral LVR, whereas video-assisted thoracoscopy has been used to perform unilateral LVR. Encouraging video-assisted thoracoscopic results with sequential, staged, bilateral LVR have been shown. This report describes an alternate technique of single-stage, bilateral LVR for end-stage emphysema.

摘要

肺减容术（LVR）能使部分弥漫性肺气肿患者在临床和客观指标上得到显著改善。单侧和双侧手术方法均已成功应用。正中胸骨切开术是双侧LVR的标准术式，而电视辅助胸腔镜已用于实施单侧LVR。已有研究显示，序贯、分期双侧LVR的电视辅助胸腔镜手术结果令人鼓舞。本报告描述了一种用于终末期肺气肿的单阶段双侧LVR替代技术。